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Alberta Affidavit Verifying Notice Form

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Print Form Affidavit Verifying Notice Personal Property Security Regulation Section 66(1) I, of in the Province of , Postal Code make oath and say: 1. That I have been authorized by the secured party to act as an agent for the purpose of effecting registration of notices relating to a security interest in a fixture or crop on the land described in the attached notice. 2. That I have full knowledge of the facts set out in the attached notice and the statement of facts is true. Sworn before me this day day of month , year Signature of Agent at REG3334 (2013/03) Reset , Alberta. Registry Agent Office Use Only Date of Submission (yyyy-mm-dd) Save Form Print Form